ST. JOHN'S MERCY SUPPORT SERVICES (NPI# 1568570620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568570620 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S MERCY SUPPORT SERVICES |
| Practice Address |
300 Winding Woods Dr Suite 112 O Fallon MO 63366-4771 |
| Practice Telephone | 6363796600 |
| Mailing Telephone | 6363796600 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL F. HINTZE (CMO/VICE PRESIDENT, MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3142511955 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912020397 | St. John's Mercy Support Services | Psychiatry & Neurology | 901 E 5th St, Washington, MO 63090-3127 | 2007-04-09 |
| Street Address |
300 WINDING WOODS DR SUITE 112 |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214529 | Daniel Douglas Kiddy | Podiatrist | 300 Winding Woods Dr, Ste 214, O Fallon, MO 63366-4771 | 2005-08-31 |
| 1104374271 | Amanda Darby | Nurse Practitioner | 300 Winding Woods Dr, O Fallon, MO 63366-4771 | 2016-09-16 |
| 1588892665 | Alyssa Leigh Keller | Family Medicine | 300 Winding Woods Dr, Suite 222, O Fallon, MO 63366-4771 | 2009-06-26 |
| 1093942997 | Leah Rose Glass | Obstetrics & Gynecology | 300 Winding Woods Dr, Suite 200, O Fallon, MO 63366-4771 | 2009-06-18 |
| 1235392788 | Randi H Becker | Family Medicine | 300 Winding Woods Dr, O Fallon, MO 63366-4771 | 2008-07-04 |
| 1952563496 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1871755306 | Ddk, LLC | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1144482688 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1871755314 | Ddk, Lc | Podiatrist | 300 Winding Woods Dr, Suite 214, O Fallon, MO 63366-4771 | 2008-06-26 |
| 1841464625 | Chris Feightner Blanner | Family Medicine | 300 Winding Woods Dr, Suite 222, O Fallon, MO 63366-4771 | 2008-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699185652 | Samantha Mullan | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2701, Saint Louis, MO 63117-1811 | 2014-04-30 |
| 1154500064 | Jeffrey Stuart Greenspoon | Obstetrics & Gynecology | 1000 E. Primrose, #360, Springfield, MO 65807-5293 | 2007-10-26 |
| 1649288523 | Erol Amon | Obstetrics & Gynecology | 1031 Bellevue, St Louis, MO 63117 | 2006-08-04 |
| 1093723975 | Raul Artal | Obstetrics & Gynecology | 1031 Bellevue, Suite 400, St Louis, MO 63117 | 2006-08-04 |
| 1972526994 | Michael J Paul | Obstetrics & Gynecology | 3009 N Ballas Rd Ste 351c, Saint Louis, MO 63131-2324 | 2006-07-25 |
| 1639167562 | Shaun G Lencki | Obstetrics & Gynecology | 1000 E Primrose St Ste 360, Springfield, MO 65807-5293 | 2005-10-13 |
| 1083613061 | George C Lu | Obstetrics & Gynecology | 1201 Nw Briarcliff Pkwy, Suite 310, Kansas City, MO 64116-1878 | 2005-07-20 |
| 1386647345 | George A Macones | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2005-05-24 |
| 1952810129 | Mercy Clinic Maternal Fetal Medicine LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2017-09-20 |
| 1205272341 | Katherine Mae Massa | Obstetrics & Gynecology | 4901 Forest Park Ave, Div Obgyn Mfm / Ultrasound, Ste 710, Saint Louis, MO 63108-1495 | 2013-05-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.